ParkView Compounding Pharmacy & Wellness Center

Compounded Drugs

Dental Compounds

Natural Hormone
Replacement Therapy

Pain Management

Animal Medications
and More

Veterinary Compounding

Flavoring

Vitamins and Tonics

Low dose, longer acting
insulins

And More...

Prescription Transfer

Get Started
Transferring your prescriptions to Target is quick and easy. Just choose a pharmacy location, tell us about yourself and your prescriptions, and let us do the rest.

You can save time by gathering some information about the prescriptions you want to transfer. You can find this information on your current prescription label:

1. Name of your current pharmacy
2. Phone number of your current pharmacy
3. Prescription number

Please fill in all fields marked with a *

Personal Information

*First Name:	*Last Name:
Date of Birth:	- - (Format ex: mm-dd-yyyy)
*Current Address:	(ex: 12345 Street Blvd.)
	(ex: City, State Zipcode)

Phone Number:	(Format ex: 800-605-0166)
*Email Address:	(Format ex: bob@yahoo.com)

Medical Information

*Pharmacy Name:

*Pharmacy Phone Number:

*Prescription Number:

*Name of Doctor:

*Doctor's Phone Number:

Medication Information

*Name Of Medication:

Quantity:

Date of Last Fill:

Need by:

Insurance Information (only provide us with your insurance if this medication is covered by it)

Name of your Insurance:

Insurance Phone Number:

ID Number:

Group Number:

Card Holder Name:

DOB:

Additional Comments:

We are Proud Members of:

Parkview Pharmacy and Home Health Care
8283 Grove Ave., Ste. 105/107 Rancho Cucamonga, CA 91730 Phone: 800-605-0166 / 909-981-0956 Fax: 909-981-8409

Parkview Pharmacy and Home Health Care only accepts original prescriptions that are based on a face-to-face medical consultation between a patient and their physician (except where expressly permitted by law).